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Read. Follow. Verify.PI Post Acute Access Act (H.R. 8528)
Last action · April 27, 2026: Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.Sponsors: Adrian Smith and 5 others
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What This Bill Would Do
This bill proposes changes to Medicare coverage to ensure patients with primary immunodeficiency diseases can access specific treatments while staying in skilled nursing facilities. It aims to update the Social Security Act to include these treatments and related services under covered items.
Starting October 1, 2026, Medicare coverage rules for skilled nursing facilities will expand to include specific treatments for patients with primary immunodeficiency, potentially changing how these patients receive care in post-acute settings.
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
Primary immunodeficiency patients
Patients requiring intravenous immune globulin will have these treatments covered under Medicare while in skilled nursing facilities.
Skilled nursing facilities
Facilities will be required to provide or facilitate the administration of specific immune globulin treatments as part of covered Medicare services.
Key Facts
- The bill is officially titled the 'PI Post Acute Access Act'.
- It amends Section 1888(e)(2)(A)(iii) of the Social Security Act.
- The amendment adds intravenous immune globulin treatments for primary immune deficiency disease to the list of covered items in skilled nursing facilities.
- Specific HCPCS codes covered include J1561, J1569, J1576, J1568, J1459, J1554, J1557, and J1566.
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- The Secretary of Health and Human Services has the authority to modify the list of covered HCPCS codes in the future.
- The changes apply to items and services furnished on or after October 1, 2026.
Frequently Asked Questions
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News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
2 actions- Apr 27, 2026HouseCommitteeReferred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- Apr 27, 2026HouseIntroducedIntroduced in House
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
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Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Medicare Coverage Expansion
The bill explicitly lists current HCPCS codes while granting the Secretary of Health and Human Services ongoing authority to update the list, indicating a move toward more flexible coverage definitions.
Connected Entities
Sources
www.congress.gov
Analysis Score
0–100- Significance45How much this matters to a regular citizen
- Controversy10Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz15Current news / social attention level
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